Sarnova este o companie de distribuție și servicii medicale care sprijină serviciile medicale de urgență și organizațiile de îngrijire medicală acută. Prin companii precum Bound Tree Medical, Tri-anim Health Services, Cardio Partners și Digitech, furnizează produse și echipamente medicale, soluții pentru îngrijirea respiratorie și critică, programe pentru defibrilatoare externe automate, instruire în resuscitarea cardiopulmonară și tehnologie pentru facturarea serviciilor medicale de urgență și pentru analiza informațiilor de afaceri. Grupul deservește furnizori de servicii medicale de urgență, spitale, școli, companii și agenții guvernamentale și operează ca o companie din portofoliul Patricia Industries, parte a Investor AB.
A/R Management Specialist II - Remote, United States
Manage insurance denials, appeals, and accounts receivable for outsourced EMS billing and revenue-cycle operations. Fully remote role based in the United States.
Descriere
- Manage outstanding insurance receivables, denials, and appeals
- Conduct insurance and patient billing follow-up to support timely, accurate payment
- Complete duties in line with company standards and applicable state and federal requirements
- Contact patients, hospitals, insurers, facilities, and attorneys to investigate claims and verify insurance details
- Check with insurance carriers regarding overdue account status
- Achieve or surpass established productivity and quality targets
- Record account activity in the claims processing system
- Contact patients to confirm and follow up on insurance coverage
- Reduce aging receivables by consistently pursuing unpaid claims
- Review collection accounts before they are referred to an external agency
- Handle special projects assigned by the Manager
- Comply with applicable laws and regulations, including HIPAA
- Investigate and resolve complex accounts and escalated issues
- Conduct quality reviews of assigned claims
- Follow company attendance requirements
- Complete other assigned responsibilities
Cerințe
- High school diploma or equivalent is required
- Associate degree is preferred
- At least two years of experience in healthcare claims processing, billing, or accounts receivable
- Practical experience preparing and submitting insurance appeals, including knowledge of payer denial codes and timely filing limits
- Working knowledge of ICD-10, HCPCS, and general medical terminology
- EMS billing experience is strongly preferred; experience in other medical specialties may be considered
- Proficiency with web-based tools, billing software, and payer portals
- Previous customer service experience
- Ability to collaborate effectively across departments and with team members
- Basic computer skills, including Microsoft Office experience
- Strong interpersonal, organizational, communication, and time-management abilities
- Strong investigative and research capabilities for resolving complex billing issues
- Effective critical-thinking and analytical skills
- Ability to work independently in a fast-paced, changing environment with minimal supervision
- Ability to manage the full role independently, including goals and business practices, while working remotely
- Compliance with applicable laws, regulations, HIPAA, and company standards is required
Beneficii
- Competitive compensation based on experience
- Comprehensive benefits package
- 401(k) plan
- Remote work arrangement